Talent.com

Claim analyst Jobs in USA

Create a job alert for this search

Claim analyst • usa

Last updated: 4 days ago

Claim Operations Analyst

TravelersCharlotte, NC, United States
Full-time

Taking care of our customers, our communities and each other.By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 17... Show more

Claim Examiner

Boston Mutual Life Insurance CompanyCanton, MA, United States
Full-time

All Boston Mutual employees who interact with our policyholders, our producers, and our BML associates embrace the principles of our brand and service philosophy.Both our words and our behaviors ma... Show more

Claim Manager

W.R. BerkleyAtlanta, GA, United States
Full-time

Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional Liability insurance solutions in the following market segments: Construction, Specialty Casualty, & P... Show more

Medical Claim Analyst

Crawford & CompanyLas Vegas, US
Full-time

Now Hiring: Medical Claim Analyst (NEVADA) Step into a role where precision meets purpose.As a Medical Claim Analyst, you'll manage medical-only and maintenance claims under direct supervisi... Show more

Claim Service Analyst

Arch Capital GroupCortland, NY, United States
$45,000.00 yearly
Full-time

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potentia... Show more

Stop Loss & Health Claim Analyst

Sun LifeRemote, Connecticut, United States
Remote
Full-time

Review claims, interpreting and comparing contracts, dispersing reimbursement.Ensure that all claims contain the required documentation to support the Stop Loss claim determination.Responsible for ... Show more

Claim Representative

ChubbLos Angeles, CA, United States
$57,200.00 yearly
Full-time

Workers' Compensation Medical Only Claim Examiner.Chubb is currently seeking a Workers' Compensation Medical Only Claim Examiner for our West Coast/Pacific region.The successful applicant will be h... Show more

Claim Administrator

Barasch & McGarryManhattan, NY, US
Full-time
Quick Apply

PURPOSE The Claim Administrator/Client Advocate supports clients throughout the Victim Compensation Fund (VCF) process by serving as their primary point of contact, helping them gather required doc... Show more

Claim Analyst IV, Lex Pro

AIGBoston, MA, United States
Full-time

Join us as a Claims Analyst IV, Lex Pro to take on key responsibilities within a world-class claims function.The Claims Analyst IV, Lex Pro position is responsible for handling a caseload of pendin... Show more

Guidewire Claim Center Business Analyst - Hybrid

The Dignify Solutions, LLCCharlotte, NC, United States
Full-time

Hybrid Locations: Alpharetta, GA; Charlotte, NC; Chicago, IL; Colorado Springs, CO; Conshohocken, PA; Dallas, TX; Denver, CO; Fargo, ND; Garden City, NY; Houston, TX; Jacksonville, IL; Lenexa, KS; ... Show more

Business Analyst (Claim Writer & Final Action)

Software Technology, Inc.Blue Bell, PA, United States
Full-time

Strong ability to communicate with team members, security partners, management to determine mitigation or resolution of a finding.Ability to review development resolutions and accept work on behalf... Show more

Claim Examiner

A-G Administrators LLCBerwyn, PA, United States
Full-time

Claim Examiner/h2pThe Claim Examiner is responsible for managing, investigating, and processing Accident Health insurance claims.The ideal candidate should be highly detail-oriented, precise, and ... Show more

Medical Claim Analyst

Crawford & Company*Remote/ Home Based, Boise, Idaho, United States
Remote
Full-time

Under direct supervision, processes medical only claims within authority, processes other claims open only for the administration of medical benefits (.Processes "M" Case claims (medical only) with... Show more

Guidewire Claim Center Business Analyst

Futran Tech Solutions Pvt. Ltd.Conshohocken, PA, United States
Full-time

Guidewire Claim Center Business Analyst.Location: Purchase, NY or Florham Park, NJ or Conshohocken, PA Onsite From Day 1.Lead requirements definition for complex projects and multi-year strategic ... Show more

Workers Compensation Benefit Management Claim Analyst

020 Travelers Indemnity CoDale Mabry,Tampa
$47,700.00 yearly
Full-time

Taking care of our customers, our communities and each other.By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 17... Show more

Claim Adjuster

MaerskCharlotte, NC, United States
Full-time

Maersk is a global leader in integrated logistics and has been industry pioneers for over a century.Through innovation and transformation, we are redefining the boundaries of possibility, continuou... Show more

Executive Claim Analyst (Casualty)

PURE InsuranceScottsdale, AZ, United States
Full-time

The Executive Claim Analyst is a key member of the Casualty Claims Department reporting to the Casualty Large Loss Manager.The primary goal of this position is to handle our most severe and complex... Show more

Claim Specialist

FR HealthIrvine, CA, United States
Full-time

Behavioral Health Claims Follow-Up Specialist.Looking for an experienced Behavioral Health Claims Follow-Up Specialist to join our Revenue Cycle team.This role is responsible for managing insurance... Show more

Claim Administrator

ServiceMaster of St. Charles, Clayton, and WestportSaint Charles, MO, US
Full-time +1

ServiceMaster Restore is looking for an outstanding full-time Claim Administrator to support the Mitigation Division!.ABOUT SERVICEMASTER: ServiceMaster is an industry leading restoration services ... Show more

People also ask
Claim Operations Analyst

Claim Operations Analyst

TravelersCharlotte, NC, United States
8 days ago
Job type
  • Full-time
Job description

Claim

Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.

Under moderate supervision this position, in partnership with claim professionals and leadership is responsible for ensuring accurate financial controls and ensuring compliance with financial standards. Performs underlying financial controls, and assisting with validations or audits. Serves as subject matter expert to Claim Centers on operational services, processes and logistics/workflows. Reviews operational workflows, documents findings, and provides recommended solutions for improvement. Responsible for analyzing financial information and drawing conclusions to assist business with making decisions. Facilitate training and learning for team members. Mentor peers and assist with new hire selection through peer interviewing. Travelers offers a hybrid work location model that is designed to support flexibility.

Financial Controls And Assessments

  • Performs underlying financial controls, and assisting with validations or audits.
  • Performs and analyzes compliance reviews to validate the effectiveness of financial controls, identifies trends and communicates findings to business partners (finance, product, field leadership).
  • Interprets and applies product workflow changes to financial reviews that they are completing.
  • Participates in, presents and explains reviews and trending analyses (that they have completed) during various types of audits and reviews with business and potentially external auditors.
  • Assesses the reasonableness of audited data as well as identifying discrepancies.
  • Validates data against regulatory standards.
  • Reviews controls against state regulatory requirements. Often requires researching state regulatory requirements.

Data And Information Management

  • Compiles accurate records from multiple sources and information management.
  • Requires research to determine which sources to use.
  • Uses management information data to create and analyze periodic ad hoc reports based on business needs.
  • Updates data discrepancies identified in reports and systems.
  • Completes budget analysis to identify trends in allocated and unallocated expenses.
  • Reviews operational workflows, documents findings, and provides recommended solutions for improvement.

Claim Operational Service And Partnerships

  • Serves as subject matter expert to Claim Centers on operational services, processes and logistics/workflows.
  • May lead short-term and long-term projects related to Claim Center operations.
  • Leads operational and workflow projects and collaborates with peers locally and nationally to share knowledge on financial control processes and operational workflows.

Team Engagement

  • Serves as a peer coach and mentor to Operations Specialists and provides feedback to management on developmental skill gaps and makes recommendations on training needs.
  • Provides input on hiring of Operations Specialists and Analysts.
  • Assists the Operations management team with the onboarding and orientation of new staff.
  • May help with developing workflow resources and training materials/guides.
  • Serves as a resource on new processes for Operations Specialists.
  • May serve as a member of the Enterprise Response Team or Immediate Response Team programs and may hold applicable state adjuster licenses.

Claim Payments And Expense Processing

  • Ensures the proper handling of financial transactions (including claim payments, outside vendor invoices, attorney expenses, and medical processing fees.)
  • Processes and documents returned/voided checks and credits, ensuring timeliness and accuracy.
  • Perform other duties as assigned.
  • What Will Our Ideal Candidate Have?

    • Bachelor's Degree.
    • Two years of business experience, with a customer service focus.
    • Demonstrated ability to partner with others.
    • Experience gathering, interpreting and analyzing data.
    • Experience utilizing computer technology such as Microsoft Office, e-mail, Web-enabled applications, and database software.
    • Travelers claim handling experience preferred
    • ACCOUNTABILITY: Takes ownership and responsibility for actions and outcomes, performance and results;.
    • ANALYTICAL THINKING: Ability to analyze, synthesize and compare information to understand issues and explore alternative solutions.
    • CHANGE MANAGEMENT/RESILIENCE: Ability to remain energized and focused in the face of ambiguity, change or strenuous demands.
    • JUDGEMENT/DECISION MAKING: Ability to exercise sound judgment, makes decisions and commit to a position.
    • RELATIONSHIP MANAGEMENT: Ability to build, foster and maintain productive working relationships to meet goals and achieve results.

    What Is a Must Have?

    • High School Diploma or GED.
    • 2 years of business experience, with a customer service focus.
    • Experience performing data analysis.

    What Is in It for You?

    • Health Insurance: Employees and their eligible family members including spouses, domestic partners, and children are eligible for coverage from the first day of employment.
    • Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
    • Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
    • Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
    • Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.

    Employment Practices

    Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.

    In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.

    If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.

    Travelers reserves the right to fill this position at a level above or below the level included in this posting.

    To learn more about our comprehensive benefit programs please visit